Dalencour, Chantal I

Dalencour, Chantal I is an individual health care provider with primary practice located at 34960 Center Ridge Rd , North Ridgeville OH 44039-3183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dalencour, Chantal I can be contacted via phone (440) 353-3433.

Contact Information

Primary practice address
34960 Center Ridge Rd North Ridgeville OH 44039-3183
Phone: (440) 353-3433
Fax: (440) 353-3431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35073965 Ohio

Profile Details

NPI number 1265434120
LBN Legal business name Dalencour, Chantal I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265434120 NPPES
Ohio MEDICAID 2095021
Ohio Other 370017680

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